| Hospitalist Medicine Physicians Of Michigan, Pllc | |
|
818 Riverside Ave Adrian MI 49221-1446 | |
| (330) 493-4443 | |
| (330) 493-8677 |
| Full Name | Hospitalist Medicine Physicians Of Michigan, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 818 Riverside Ave, Adrian, Michigan |
| Authorized Official Name and Position | Robert Bessler (PRESIDENT) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Michigan, Pllc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5658 | Hospitalist Medicine Physicians Of Michigan, Pllc 818 Riverside Ave Adrian MI 49221-1446 Ph: (330) 493-4443 |
| NPI Number | 1013180181 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 05/17/2019 |
| Medicare PECOS PAC ID | 4486703170 |
|---|---|
| Medicare Enrollment ID | O20090529000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013180181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Derek Grossman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770512410 PECOS PAC ID: 6002723996 Enrollment ID: I20031113000584 |
| Provider Name | Robert Fredrick Sigworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336144740 PECOS PAC ID: 0345142824 Enrollment ID: I20040124000027 |
| Provider Name | Geralyn M Doskoch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710079256 PECOS PAC ID: 4880587294 Enrollment ID: I20040210000181 |
| Provider Name | Bartholomew D Sak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093755167 PECOS PAC ID: 1658267877 Enrollment ID: I20040225000342 |
| Provider Name | Joseph G Lessard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306891403 PECOS PAC ID: 9234029174 Enrollment ID: I20040316000995 |
| Provider Name | Carolyn M Whatley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487750022 PECOS PAC ID: 9335030154 Enrollment ID: I20040322001655 |
| Provider Name | Nicholas Paron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568446540 PECOS PAC ID: 7719879352 Enrollment ID: I20040331000937 |
| Provider Name | Thomas L Mcelwee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285673863 PECOS PAC ID: 6901894070 Enrollment ID: I20040505001567 |
| Provider Name | Bobby G Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891767489 PECOS PAC ID: 0547153587 Enrollment ID: I20040608001204 |
| Provider Name | Larry Rivera Lazaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568449007 PECOS PAC ID: 9133105471 Enrollment ID: I20040628000007 |
| Provider Name | Vincent G Worthington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518962604 PECOS PAC ID: 6507845906 Enrollment ID: I20040719000863 |
| Provider Name | David Gunnerson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588602106 PECOS PAC ID: 3577535053 Enrollment ID: I20040806000606 |
| Provider Name | Douglas H Slater |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134152382 PECOS PAC ID: 4587557699 Enrollment ID: I20040809000917 |
| Provider Name | Beth Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184616013 PECOS PAC ID: 7719950922 Enrollment ID: I20040817000010 |
| Provider Name | James E Mclachlan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649249822 PECOS PAC ID: 4587631403 Enrollment ID: I20040910001166 |
| Provider Name | Mohammed A Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174502975 PECOS PAC ID: 7810962529 Enrollment ID: I20040918000088 |
| Provider Name | Richard Hidalgo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427053115 PECOS PAC ID: 1759359441 Enrollment ID: I20040921000290 |
| Provider Name | Douglas M Spence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790875649 PECOS PAC ID: 9436111051 Enrollment ID: I20050118000656 |
| Provider Name | Carolina Flickinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295717262 PECOS PAC ID: 8729030309 Enrollment ID: I20050211000083 |
| Provider Name | Troy Warren Ahlstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548265911 PECOS PAC ID: 2961457445 Enrollment ID: I20050317000404 |
| Provider Name | Mailvaganam Sridharan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598714990 PECOS PAC ID: 7911985510 Enrollment ID: I20050404000991 |
| Provider Name | Branko Grinfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356436976 PECOS PAC ID: 7012957699 Enrollment ID: I20050504000140 |
| Provider Name | Tracey A Haener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295709103 PECOS PAC ID: 2264475573 Enrollment ID: I20050608000115 |
| Provider Name | Abdul S Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619088358 PECOS PAC ID: 5294771895 Enrollment ID: I20050706000061 |
| Provider Name | Prabhash Tatineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477664167 PECOS PAC ID: 7618904574 Enrollment ID: I20050721000833 |
| Provider Name | Pamela Teresa Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255371530 PECOS PAC ID: 0840228953 Enrollment ID: I20050730000027 |
| Provider Name | Amy L Beeman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1891743837 PECOS PAC ID: 1456384536 Enrollment ID: I20050919000405 |
| Provider Name | Rockelle D Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962596502 PECOS PAC ID: 8123052917 Enrollment ID: I20050921000599 |
| Provider Name | Mandeep K Sidhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255442927 PECOS PAC ID: 2769417500 Enrollment ID: I20050930000165 |
| Provider Name | Frederic L Such |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205932159 PECOS PAC ID: 1254366990 Enrollment ID: I20050930000227 |
| Provider Name | Sara L Roth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912973389 PECOS PAC ID: 2365477015 Enrollment ID: I20050930000302 |
| Provider Name | Mark S Byland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568570869 PECOS PAC ID: 5294750584 Enrollment ID: I20051005001111 |
| Provider Name | Deborah Sue Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770675290 PECOS PAC ID: 3375560139 Enrollment ID: I20051031000872 |
| Provider Name | Oronde Lasana White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891746871 PECOS PAC ID: 3779500400 Enrollment ID: I20051101000366 |
| Provider Name | Stephen Clovis Sheridan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821020009 PECOS PAC ID: 2264450675 Enrollment ID: I20051103001115 |
| Provider Name | Gary S Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205839909 PECOS PAC ID: 1254243785 Enrollment ID: I20051108000095 |
| Provider Name | Jane L Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992790554 PECOS PAC ID: 7618997016 Enrollment ID: I20051130000592 |
| Provider Name | Thomas G Ling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528065034 PECOS PAC ID: 2860461043 Enrollment ID: I20051215000481 |
| Provider Name | Vlad Motoc |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164462693 PECOS PAC ID: 5496715690 Enrollment ID: I20060106000375 |
| Provider Name | Natalie S Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427053529 PECOS PAC ID: 2668487067 Enrollment ID: I20060207000113 |
| Provider Name | Phillip S Eisenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619075637 PECOS PAC ID: 7012958333 Enrollment ID: I20060207000695 |
| Provider Name | David J Straight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760487805 PECOS PAC ID: 5597770800 Enrollment ID: I20060208000111 |
| Provider Name | James David Sitek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205831617 PECOS PAC ID: 2769434992 Enrollment ID: I20060208000125 |
| Provider Name | Lawrence H Warbasse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902801327 PECOS PAC ID: 4486606613 Enrollment ID: I20060209000218 |
| Provider Name | David Alan Friar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720083108 PECOS PAC ID: 5597717728 Enrollment ID: I20060209000285 |
| Provider Name | Richard A Woodbury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497750814 PECOS PAC ID: 7517919749 Enrollment ID: I20060209000292 |
| Provider Name | Kenneth W Friar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730184847 PECOS PAC ID: 0143272377 Enrollment ID: I20060209000302 |
| Provider Name | Michael P Salata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275538670 PECOS PAC ID: 2860444098 Enrollment ID: I20060209000577 |
| Provider Name | Carl B Anders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194779843 PECOS PAC ID: 8921013806 Enrollment ID: I20060214000332 |
| Provider Name | James D Decker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497749576 PECOS PAC ID: 2062472715 Enrollment ID: I20060313000561 |
| Provider Name | Wayne A Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023005436 PECOS PAC ID: 5698782860 Enrollment ID: I20060428000521 |
| Provider Name | David B Butcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164469862 PECOS PAC ID: 6507878089 Enrollment ID: I20060627000276 |
| Provider Name | Kristi R Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265480297 PECOS PAC ID: 7113987231 Enrollment ID: I20060727000023 |
| Provider Name | Nathan A Rousse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356353791 PECOS PAC ID: 0749284792 Enrollment ID: I20060905000338 |
| Provider Name | Sarah R Seaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245281252 PECOS PAC ID: 8123022126 Enrollment ID: I20060906000135 |
| Provider Name | Ahmed M Hamoda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982634002 PECOS PAC ID: 0547266280 Enrollment ID: I20061019000584 |
| Provider Name | Ramon Urrea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952331613 PECOS PAC ID: 4082613435 Enrollment ID: I20061212000311 |
| Provider Name | Donald E Willman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184641771 PECOS PAC ID: 6901899194 Enrollment ID: I20070111000415 |
| Provider Name | Donna L Defilippo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073626701 PECOS PAC ID: 6002918232 Enrollment ID: I20070219000559 |
| Provider Name | Gene L Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720138217 PECOS PAC ID: 3678508165 Enrollment ID: I20070314000250 |
| Provider Name | Christopher F Gerling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164441861 PECOS PAC ID: 8123124831 Enrollment ID: I20070426000055 |
| Provider Name | Curt J Schubert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831224765 PECOS PAC ID: 2466558762 Enrollment ID: I20070503000035 |
| Provider Name | Douglas J Gentry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245224435 PECOS PAC ID: 6204932023 Enrollment ID: I20070510000383 |
| Provider Name | Horia Tatu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093833535 PECOS PAC ID: 1658470745 Enrollment ID: I20070702000310 |
| Provider Name | Gerald Thomas Pruitt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356399232 PECOS PAC ID: 3577597640 Enrollment ID: I20070713000820 |
| Provider Name | Samuel R Tredemeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366570855 PECOS PAC ID: 7315048451 Enrollment ID: I20070719000548 |
| Provider Name | Keith D Marcus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255371365 PECOS PAC ID: 0345259909 Enrollment ID: I20070919000668 |
| Provider Name | Lucinda S Geiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922151158 PECOS PAC ID: 8921196015 Enrollment ID: I20071127000385 |
| Provider Name | Keith J Moody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356451942 PECOS PAC ID: 3476638479 Enrollment ID: I20080317000013 |
| Provider Name | Jonna L Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841295698 PECOS PAC ID: 9537248984 Enrollment ID: I20080509000364 |
| Provider Name | Hal R Yost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801820154 PECOS PAC ID: 9335212067 Enrollment ID: I20080714000535 |
| Provider Name | George Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396735791 PECOS PAC ID: 1658323985 Enrollment ID: I20081229000210 |
| Provider Name | Jacques Brett Burgess |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174549802 PECOS PAC ID: 6103980560 Enrollment ID: I20090129000349 |
| Provider Name | Gary Shintani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083615025 PECOS PAC ID: 5890852198 Enrollment ID: I20090331000170 |
| Provider Name | John R Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558362475 PECOS PAC ID: 4587711825 Enrollment ID: I20090402000436 |
| Provider Name | John P Macnowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316066806 PECOS PAC ID: 5294885307 Enrollment ID: I20090611000385 |
| Provider Name | Shady M Megala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447467451 PECOS PAC ID: 5698825354 Enrollment ID: I20090618000356 |
| Provider Name | Brian A Lishawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154334399 PECOS PAC ID: 0547311508 Enrollment ID: I20090702000265 |
| Provider Name | Adriss E Faraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902014509 PECOS PAC ID: 9739231929 Enrollment ID: I20090720000168 |
| Provider Name | Veronica M Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316157993 PECOS PAC ID: 1850444514 Enrollment ID: I20090729000269 |
| Provider Name | Benjamin G Lamphere |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407064009 PECOS PAC ID: 5496809360 Enrollment ID: I20090812000692 |
| Provider Name | Kelsey L Knaack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205865177 PECOS PAC ID: 5698829430 Enrollment ID: I20090813000477 |
| Provider Name | James D Zeratsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235246919 PECOS PAC ID: 0345396511 Enrollment ID: I20090914000641 |
| Provider Name | April E Kurkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891994026 PECOS PAC ID: 3274689211 Enrollment ID: I20090916000728 |
| Provider Name | William E Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598782443 PECOS PAC ID: 2264571496 Enrollment ID: I20091202000123 |
| Provider Name | Phillip W Dooley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629201827 PECOS PAC ID: 4789726514 Enrollment ID: I20100116000321 |
| Provider Name | William M Sheppard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932142221 PECOS PAC ID: 8628110681 Enrollment ID: I20100128000908 |
| Provider Name | Changxin Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114958899 PECOS PAC ID: 5395888978 Enrollment ID: I20100204000347 |
| Provider Name | John Lloyd Loewen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376693770 PECOS PAC ID: 4082758933 Enrollment ID: I20100216000950 |
| Provider Name | Niladri Mal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457514325 PECOS PAC ID: 0446385306 Enrollment ID: I20100317000240 |
| Provider Name | Joel W Knaack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841236460 PECOS PAC ID: 4587790381 Enrollment ID: I20100331000740 |
| Provider Name | Karrin E Licht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780620070 PECOS PAC ID: 9931236866 Enrollment ID: I20100423000426 |
| Provider Name | Donald M Rozzell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760475313 PECOS PAC ID: 8820126212 Enrollment ID: I20100505000496 |
| Provider Name | Catherine A Wonski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386755726 PECOS PAC ID: 7214067578 Enrollment ID: I20100611000833 |
| Provider Name | Emily G Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578765806 PECOS PAC ID: 5991997827 Enrollment ID: I20101008001216 |
| Provider Name | Chaitanya V Brundavanam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669699211 PECOS PAC ID: 5799839627 Enrollment ID: I20101018000600 |
| Provider Name | Mhd Nawras Kordi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669620373 PECOS PAC ID: 9335332204 Enrollment ID: I20101023000174 |
| Provider Name | Rocky Edward Pittman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881884997 PECOS PAC ID: 3870788482 Enrollment ID: I20101109000854 |
| Provider Name | Ralph Avedisian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316054125 PECOS PAC ID: 7113997446 Enrollment ID: I20101112001188 |
| Provider Name | Peter H Viall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265403679 PECOS PAC ID: 9436162450 Enrollment ID: I20101113000237 |
| Provider Name | Zane M Knoer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326155144 PECOS PAC ID: 0941495832 Enrollment ID: I20101117001218 |
| Provider Name | Ahed Zayzafoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023340700 PECOS PAC ID: 0446446694 Enrollment ID: I20101130000519 |
| Provider Name | Amy Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437142791 PECOS PAC ID: 6800975095 Enrollment ID: I20110126000666 |
| Provider Name | Wassim Noureddine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548421167 PECOS PAC ID: 7113094905 Enrollment ID: I20110209000831 |
| Provider Name | Thomas J Yax |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104078419 PECOS PAC ID: 7416135736 Enrollment ID: I20110708000432 |
| Provider Name | Maduabuchi Okoro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447556436 PECOS PAC ID: 0648448753 Enrollment ID: I20110715000292 |
| Provider Name | Ameed Abdulrazzak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902069016 PECOS PAC ID: 5698943132 Enrollment ID: I20110727000533 |
| Provider Name | Mario A San Martin Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598096679 PECOS PAC ID: 7618147919 Enrollment ID: I20110824000195 |
| Provider Name | Padmaja Manne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669629507 PECOS PAC ID: 0143492389 Enrollment ID: I20111011000580 |
| Provider Name | Sarah M Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881820330 PECOS PAC ID: 7810160611 Enrollment ID: I20111021000383 |
| Provider Name | John Sifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154433621 PECOS PAC ID: 5395711980 Enrollment ID: I20111024000038 |
| Provider Name | Allan Paul Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578727335 PECOS PAC ID: 3476611260 Enrollment ID: I20111114000537 |
| Provider Name | Jacqueline M Moore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437319407 PECOS PAC ID: 0446424832 Enrollment ID: I20111121000852 |
| Provider Name | Amanda Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962595405 PECOS PAC ID: 5890960553 Enrollment ID: I20111207000414 |
| Provider Name | Rachel E Soles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033480769 PECOS PAC ID: 7012175003 Enrollment ID: I20120222000348 |
| Provider Name | Houssam Y Hariri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376798108 PECOS PAC ID: 8426228446 Enrollment ID: I20120521000160 |
| Provider Name | Danial Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407098882 PECOS PAC ID: 9537323803 Enrollment ID: I20120618000372 |
| Provider Name | Peter R Handley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942375050 PECOS PAC ID: 0345269429 Enrollment ID: I20120726000017 |
| Provider Name | Kelly A Covell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225266265 PECOS PAC ID: 8921254616 Enrollment ID: I20120813000376 |
| Provider Name | Zahoorul Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033341060 PECOS PAC ID: 7214184159 Enrollment ID: I20120828000265 |
| Provider Name | Matthew R Knisley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417100777 PECOS PAC ID: 5698946655 Enrollment ID: I20120907000555 |
| Provider Name | Oliver Dimitrijevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003055252 PECOS PAC ID: 0547418766 Enrollment ID: I20120913000280 |
| Provider Name | Angela J Pohl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629207741 PECOS PAC ID: 6709034408 Enrollment ID: I20120921000715 |
| Provider Name | Clifford T Fulton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508093030 PECOS PAC ID: 7315195989 Enrollment ID: I20120924000801 |
| Provider Name | Monzer M Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609009778 PECOS PAC ID: 6406000215 Enrollment ID: I20130202000030 |
| Provider Name | Hassan S Sheikho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982620829 PECOS PAC ID: 1850349002 Enrollment ID: I20130225000358 |
| Provider Name | Lynn R Shattuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679556724 PECOS PAC ID: 4981859378 Enrollment ID: I20130311000426 |
| Provider Name | Amanda R Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881914893 PECOS PAC ID: 5698915171 Enrollment ID: I20130703000595 |
| Provider Name | Jouliana J Eager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508186404 PECOS PAC ID: 2365683992 Enrollment ID: I20130724000849 |
| Provider Name | Matthew Callander |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568773588 PECOS PAC ID: 7517109812 Enrollment ID: I20130816000110 |
| Provider Name | Vbr Datta Amara Sai Mitnala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992018618 PECOS PAC ID: 7517101975 Enrollment ID: I20130925000319 |
| Provider Name | Alpesh Korant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619281300 PECOS PAC ID: 9537303896 Enrollment ID: I20130926000650 |
| Provider Name | Anca Tanase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497920292 PECOS PAC ID: 3476626235 Enrollment ID: I20130930000551 |
| Provider Name | William T Kern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316189467 PECOS PAC ID: 8123252988 Enrollment ID: I20131009002008 |
| Provider Name | Erica A Dicicco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104139450 PECOS PAC ID: 2567696339 Enrollment ID: I20131009002101 |
| Provider Name | Martin U Egenti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871741694 PECOS PAC ID: 4284868654 Enrollment ID: I20131018000629 |
| Provider Name | Alvin Michael Robertson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841272424 PECOS PAC ID: 7911034681 Enrollment ID: I20131018000928 |
| Provider Name | Mohsin U Qazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437461084 PECOS PAC ID: 6507091469 Enrollment ID: I20131030001221 |
| Provider Name | Adrienne E Edgren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629212816 PECOS PAC ID: 9335374131 Enrollment ID: I20131104000595 |
| Provider Name | Thomas P Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639480221 PECOS PAC ID: 2567698475 Enrollment ID: I20131125001331 |
| Provider Name | Guo Phoenix |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396901062 PECOS PAC ID: 5597935643 Enrollment ID: I20140115001493 |
| Provider Name | Randa S Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487080339 PECOS PAC ID: 2668601071 Enrollment ID: I20140205001638 |
| Provider Name | Matthew A Mazur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376719781 PECOS PAC ID: 0345311262 Enrollment ID: I20140226000393 |
| Provider Name | Nicole K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093865032 PECOS PAC ID: 4284818634 Enrollment ID: I20140306001408 |
| Provider Name | Kelly J Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356423933 PECOS PAC ID: 3577608231 Enrollment ID: I20140328001530 |
| Provider Name | Stephen Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518035468 PECOS PAC ID: 0143369546 Enrollment ID: I20140402002151 |
| Provider Name | Oleg V Sinyavskiy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316177157 PECOS PAC ID: 6901038298 Enrollment ID: I20140421001835 |
| Provider Name | Harjeet Singh Jhajj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548557440 PECOS PAC ID: 5799908851 Enrollment ID: I20140519001908 |
| Provider Name | Ernest Alexander Vera-vazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689968349 PECOS PAC ID: 2961625561 Enrollment ID: I20140529001589 |
| Provider Name | Steven A Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346536497 PECOS PAC ID: 6901038934 Enrollment ID: I20140611000811 |
| Provider Name | Patricia L Fick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457639361 PECOS PAC ID: 7911136973 Enrollment ID: I20140630000632 |
| Provider Name | Maath Alani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518250133 PECOS PAC ID: 6800011677 Enrollment ID: I20140710002452 |
| Provider Name | Kareem Bazzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639466436 PECOS PAC ID: 3274759428 Enrollment ID: I20140723002031 |
| Provider Name | Katie L Fulcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851705727 PECOS PAC ID: 3577789486 Enrollment ID: I20140730001521 |
| Provider Name | Mindy A Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447663257 PECOS PAC ID: 3678790227 Enrollment ID: I20140806000211 |
| Provider Name | Moiz Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174803357 PECOS PAC ID: 8123245792 Enrollment ID: I20140806000922 |
| Provider Name | Youssef Abdul-mohsen Abbiss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982991881 PECOS PAC ID: 8224256029 Enrollment ID: I20140819002768 |
| Provider Name | Damon Maes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538484514 PECOS PAC ID: 0749502615 Enrollment ID: I20141203001797 |
| Provider Name | Kathleen A Behler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861430225 PECOS PAC ID: 9931391018 Enrollment ID: I20150119000580 |
| Provider Name | Paul Thomas Pulice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932463528 PECOS PAC ID: 0941529770 Enrollment ID: I20150429001414 |
| Provider Name | Zeeshan Noor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366718454 PECOS PAC ID: 8022268986 Enrollment ID: I20150430000649 |
| Provider Name | Scott E Selle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689968406 PECOS PAC ID: 4082933510 Enrollment ID: I20150506000150 |
| Provider Name | Wesley Wendell Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568868404 PECOS PAC ID: 4789903931 Enrollment ID: I20150511000238 |
| Provider Name | Roman Antonio Barraza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770803355 PECOS PAC ID: 7315266566 Enrollment ID: I20150513001280 |
| Provider Name | Sara A Hoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609253210 PECOS PAC ID: 1658682265 Enrollment ID: I20150624000612 |
| Provider Name | Najab Mohammed Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740620160 PECOS PAC ID: 4385963008 Enrollment ID: I20150630002804 |
| Provider Name | Adil Jadoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588995807 PECOS PAC ID: 6507059664 Enrollment ID: I20150715000252 |
| Provider Name | Melissa Kurek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902289655 PECOS PAC ID: 3577877281 Enrollment ID: I20150807014424 |
| Provider Name | Redwan Asbahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730445503 PECOS PAC ID: 5395050199 Enrollment ID: I20150821013669 |
| Provider Name | Megan M Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356717532 PECOS PAC ID: 8729395850 Enrollment ID: I20150922000821 |
| Provider Name | Larry James Mcmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164866968 PECOS PAC ID: 0749598381 Enrollment ID: I20151001001914 |
| Provider Name | Christopher C Brodkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083651004 PECOS PAC ID: 9739192089 Enrollment ID: I20151012000956 |
| Provider Name | Hazem M Alhourani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851574206 PECOS PAC ID: 2567502115 Enrollment ID: I20151021001662 |
| Provider Name | Aiman Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003170739 PECOS PAC ID: 1850609553 Enrollment ID: I20151029000721 |
| Provider Name | Dariush John Orandi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1538399613 PECOS PAC ID: 1153572888 Enrollment ID: I20151119001714 |
| Provider Name | Nichole M Kelenske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730550559 PECOS PAC ID: 3870893266 Enrollment ID: I20151208002099 |
| Provider Name | Muhammad Imran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225428584 PECOS PAC ID: 9436464724 Enrollment ID: I20160201002563 |
| Provider Name | Daniel N Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063855484 PECOS PAC ID: 3870813843 Enrollment ID: I20160216000280 |
| Provider Name | Syed S Qadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619233749 PECOS PAC ID: 1355648692 Enrollment ID: I20160331000390 |
| Provider Name | Anna M Wiersma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811388960 PECOS PAC ID: 5294033254 Enrollment ID: I20160407002235 |
| Provider Name | Kelsey L House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164815676 PECOS PAC ID: 7517273436 Enrollment ID: I20160415001284 |
| Provider Name | Kristin E Betts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699137760 PECOS PAC ID: 7517265713 Enrollment ID: I20160420001612 |
| Provider Name | Ahmad M Yasin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598007510 PECOS PAC ID: 4587973318 Enrollment ID: I20160428000992 |
| Provider Name | Ali Y Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235579954 PECOS PAC ID: 4385943729 Enrollment ID: I20160505002018 |
| Provider Name | Birgitte D Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184007379 PECOS PAC ID: 9133418288 Enrollment ID: I20160513000277 |
| Provider Name | Umayr Ahmad Azimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083054902 PECOS PAC ID: 1153550215 Enrollment ID: I20160715000914 |
| Provider Name | Imran Hayat Tarrar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639510662 PECOS PAC ID: 4880987759 Enrollment ID: I20160729001663 |
| Provider Name | Sarah K White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316390925 PECOS PAC ID: 3173817442 Enrollment ID: I20160809001932 |
| Provider Name | Stephanie N. Allers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366895617 PECOS PAC ID: 9436443702 Enrollment ID: I20160809001962 |
| Provider Name | Aaron M Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821441882 PECOS PAC ID: 5890089080 Enrollment ID: I20160811000093 |
| Provider Name | Christopher R Renkiewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184043994 PECOS PAC ID: 8820391071 Enrollment ID: I20160817000819 |
| Provider Name | Elizabeth R Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669811949 PECOS PAC ID: 3173766003 Enrollment ID: I20160831001850 |
| Provider Name | Mhd Hussam Al Jandali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063831758 PECOS PAC ID: 9335442524 Enrollment ID: I20160912001798 |
| Provider Name | Nasir Mehmood Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770831984 PECOS PAC ID: 5092958314 Enrollment ID: I20160922002001 |
| Provider Name | Cheryl Walch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609229665 PECOS PAC ID: 4486941036 Enrollment ID: I20160926000100 |
| Provider Name | Wael Khouli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639131394 PECOS PAC ID: 5698738706 Enrollment ID: I20161004000216 |
| Provider Name | Aditya Neravetla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346478088 PECOS PAC ID: 7517118912 Enrollment ID: I20161004001720 |
| Provider Name | Munsif Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881973147 PECOS PAC ID: 2668628371 Enrollment ID: I20161108001905 |
| Provider Name | Iqtidar Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932193687 PECOS PAC ID: 9032197801 Enrollment ID: I20161110002468 |
| Provider Name | Heather Richey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730630096 PECOS PAC ID: 9537449467 Enrollment ID: I20161209001075 |
| Provider Name | Ronald Ken Ladouce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154870772 PECOS PAC ID: 8921389354 Enrollment ID: I20161227000370 |
| Provider Name | Eric Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891247946 PECOS PAC ID: 7911289186 Enrollment ID: I20170123002991 |
| Provider Name | Usama Assaad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497097174 PECOS PAC ID: 7416267760 Enrollment ID: I20170130001163 |
| Provider Name | Anthony D Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902342736 PECOS PAC ID: 0042593345 Enrollment ID: I20170213000079 |
| Provider Name | Lyndsi M Davenport |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801230966 PECOS PAC ID: 8820318488 Enrollment ID: I20170427001731 |
| Provider Name | Sue Y Sacdalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265979058 PECOS PAC ID: 0244517118 Enrollment ID: I20170502000295 |
| Provider Name | Elisabeth M Schmitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518373240 PECOS PAC ID: 1658681804 Enrollment ID: I20170518001102 |
| Provider Name | Michael A Schmitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376958363 PECOS PAC ID: 4284944430 Enrollment ID: I20170518002251 |
| Provider Name | Nadezda V Stelmaschuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467867564 PECOS PAC ID: 4385913730 Enrollment ID: I20170628003154 |
| Provider Name | Mark A Langlois |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295154656 PECOS PAC ID: 1850517913 Enrollment ID: I20170706001188 |
| Provider Name | Heather Dawn Webb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093120040 PECOS PAC ID: 4587984158 Enrollment ID: I20170707000382 |
| Provider Name | Nikki Lynn Tocco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194091694 PECOS PAC ID: 8325353436 Enrollment ID: I20170707002358 |
| Provider Name | Fadi Bleibel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376957316 PECOS PAC ID: 3870819055 Enrollment ID: I20170710000185 |
| Provider Name | Jeffrey G Costain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598184830 PECOS PAC ID: 8729200134 Enrollment ID: I20170713000062 |
| Provider Name | Mohammed Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255746632 PECOS PAC ID: 5991075129 Enrollment ID: I20170721000308 |
| Provider Name | Brenda A Nyamogo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912325176 PECOS PAC ID: 9436376530 Enrollment ID: I20170726000289 |
| Provider Name | Pritha Chitagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811316813 PECOS PAC ID: 4385940063 Enrollment ID: I20170726002677 |
| Provider Name | Jonathan D Housman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881009413 PECOS PAC ID: 4082830351 Enrollment ID: I20170727003544 |
| Provider Name | Shahniwaz Labana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699194811 PECOS PAC ID: 6608178694 Enrollment ID: I20170809002776 |
| Provider Name | Jeffrey Valice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124445382 PECOS PAC ID: 5991925679 Enrollment ID: I20170809003182 |
| Provider Name | Naeem M Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588982383 PECOS PAC ID: 3173766227 Enrollment ID: I20170818000702 |
| Provider Name | Samer Ahmad Bleibel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881837581 PECOS PAC ID: 5395884506 Enrollment ID: I20170825001080 |
| Provider Name | Irena Muca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740661982 PECOS PAC ID: 9537432984 Enrollment ID: I20170906001949 |
| Provider Name | Jeanne Schall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902881360 PECOS PAC ID: 6406740984 Enrollment ID: I20170914002071 |
| Provider Name | Amy Mackie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568988616 PECOS PAC ID: 8921372129 Enrollment ID: I20170927002326 |
| Provider Name | Karthik D Mekala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669739942 PECOS PAC ID: 2860783172 Enrollment ID: I20171006002665 |
| Provider Name | Jean-lucien Mulenda Omekanda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972918738 PECOS PAC ID: 7012133515 Enrollment ID: I20171012002637 |
| Provider Name | Brett Tolpa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003332982 PECOS PAC ID: 5496021578 Enrollment ID: I20171017001867 |
| Provider Name | Eric M Rosenbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447662762 PECOS PAC ID: 2062732035 Enrollment ID: I20171121000915 |
| Provider Name | Stephanie Kay Kertes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326414160 PECOS PAC ID: 7911215363 Enrollment ID: I20171228000072 |
| Provider Name | Julia Ginzburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205038445 PECOS PAC ID: 4688933252 Enrollment ID: I20180108000477 |
| Provider Name | Rebecca Rae Ulep |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114186426 PECOS PAC ID: 7214159672 Enrollment ID: I20180109000506 |
| Provider Name | Ashleigh Marie Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275043937 PECOS PAC ID: 1052670197 Enrollment ID: I20180117000907 |
| Provider Name | Jamie Kay Aune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467966788 PECOS PAC ID: 0143580654 Enrollment ID: I20180201000603 |
| Provider Name | Ashley Lynn Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942756325 PECOS PAC ID: 8224399753 Enrollment ID: I20180226001743 |
| Provider Name | Faiza Masoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992061592 PECOS PAC ID: 3173821394 Enrollment ID: I20180301002261 |
| Provider Name | Mohamed Rezik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467792143 PECOS PAC ID: 8123259306 Enrollment ID: I20180306001575 |
| Provider Name | Nicole Marie Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851894182 PECOS PAC ID: 0941562433 Enrollment ID: I20180321001412 |
| Provider Name | Kaitlyn Suzanne Troutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326544230 PECOS PAC ID: 5092070128 Enrollment ID: I20180521000964 |
| Provider Name | Michelle Giza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366958530 PECOS PAC ID: 0143585778 Enrollment ID: I20180531000336 |
| Provider Name | Anny T Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891115564 PECOS PAC ID: 9739466087 Enrollment ID: I20180608001104 |
| Provider Name | Robert J Watha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356735286 PECOS PAC ID: 6103135934 Enrollment ID: I20180707000143 |
| Provider Name | Mistey Rayl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992202873 PECOS PAC ID: 8022364744 Enrollment ID: I20180710002435 |
| Provider Name | Serge P Bebko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457746992 PECOS PAC ID: 8527375039 Enrollment ID: I20180712000059 |
| Provider Name | Kayleigh White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972996619 PECOS PAC ID: 5890042832 Enrollment ID: I20180720002146 |
| Provider Name | Osama Abid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699161877 PECOS PAC ID: 0648527325 Enrollment ID: I20180726001574 |
| Provider Name | James P Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568843704 PECOS PAC ID: 0042569600 Enrollment ID: I20180815003191 |
| Provider Name | Sivateja Mandava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396130175 PECOS PAC ID: 9638469273 Enrollment ID: I20180816003283 |
| Provider Name | Myuren Gunaratnam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972979094 PECOS PAC ID: 1850641648 Enrollment ID: I20180828003322 |
| Provider Name | Phillip Eskander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649650185 PECOS PAC ID: 0648578153 Enrollment ID: I20180911001014 |
| Provider Name | Alyssa M Kipke |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811377807 PECOS PAC ID: 5294037545 Enrollment ID: I20180927001776 |
| Provider Name | Ali Hazim Alateya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144615345 PECOS PAC ID: 7618270497 Enrollment ID: I20181113001843 |
| Provider Name | Hani Ahmad Bleibel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245488659 PECOS PAC ID: 2365597333 Enrollment ID: I20181206001535 |
| Provider Name | Lisa A Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851870109 PECOS PAC ID: 4587909585 Enrollment ID: I20181219002403 |
| Provider Name | Lindsey Rae Pulcer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003382086 PECOS PAC ID: 8820333628 Enrollment ID: I20181226001241 |
| Provider Name | Farman Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437520301 PECOS PAC ID: 1951694165 Enrollment ID: I20181226001865 |
| Provider Name | Elizabeth A Zokas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275004699 PECOS PAC ID: 6406191006 Enrollment ID: I20190102000572 |
| Provider Name | Michael Adam Gold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861957037 PECOS PAC ID: 3779821269 Enrollment ID: I20190207001642 |
| Provider Name | Olga Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780047274 PECOS PAC ID: 9032482245 Enrollment ID: I20190211001977 |
| Provider Name | Rosni Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962929117 PECOS PAC ID: 1850645987 Enrollment ID: I20190410001018 |
| Provider Name | Khalid Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740701093 PECOS PAC ID: 0042581878 Enrollment ID: I20190418000078 |
| Provider Name | Jason W Moyns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063889244 PECOS PAC ID: 3870893365 Enrollment ID: I20190510000352 |
| Provider Name | Hamza Aurakzai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295152288 PECOS PAC ID: 1355650185 Enrollment ID: I20190516001685 |
| Provider Name | Abdul Aleem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922551019 PECOS PAC ID: 8820331440 Enrollment ID: I20190523001014 |
| Provider Name | Varun Sai Yelamanchili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396165080 PECOS PAC ID: 4688965866 Enrollment ID: I20190613003324 |
| Provider Name | Ahmad Murad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730561804 PECOS PAC ID: 6103127220 Enrollment ID: I20190706000308 |
| Provider Name | Vincent Dematio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982067096 PECOS PAC ID: 7911290010 Enrollment ID: I20190710000831 |
| Provider Name | Fatima Asif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528429446 PECOS PAC ID: 2163706920 Enrollment ID: I20190713000048 |
| Provider Name | Justin Matthew Rodebaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487826392 PECOS PAC ID: 0446586010 Enrollment ID: I20190722000030 |
| Provider Name | Mayank Ohri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780036574 PECOS PAC ID: 1557698263 Enrollment ID: I20190802001862 |
| Provider Name | Traci L Dubuque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265771851 PECOS PAC ID: 5395981997 Enrollment ID: I20190820000387 |
| Provider Name | Santosh Kagathur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972950335 PECOS PAC ID: 0648551622 Enrollment ID: I20190829000336 |
| Provider Name | Mohamad El Abdallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376993865 PECOS PAC ID: 1557690757 Enrollment ID: I20190913001135 |
| Provider Name | Angeli A Niravel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053678805 PECOS PAC ID: 6507165396 Enrollment ID: I20190917000131 |
| Provider Name | Hassan A Al-shammaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497173850 PECOS PAC ID: 1951600030 Enrollment ID: I20191009003071 |
| Provider Name | Joseph Zebelian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831624063 PECOS PAC ID: 2769756931 Enrollment ID: I20191023002810 |
| Provider Name | Kelly Van Assche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912249921 PECOS PAC ID: 1850527789 Enrollment ID: I20191029001574 |
| Provider Name | Maria L Fassari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295860500 PECOS PAC ID: 3779681515 Enrollment ID: I20191106000315 |
| Provider Name | Ramsharan Kakani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407207608 PECOS PAC ID: 8426343161 Enrollment ID: I20191118003045 |
| Provider Name | Ruchi Dash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073721619 PECOS PAC ID: 4688714835 Enrollment ID: I20191121003214 |
| Provider Name | Lucinda Marie Wenzlick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679937502 PECOS PAC ID: 2163855313 Enrollment ID: I20191203000757 |
| Provider Name | Reginald Torrence Sandy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346699980 PECOS PAC ID: 2860787629 Enrollment ID: I20191203001725 |
| Provider Name | Mary Ann Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417423369 PECOS PAC ID: 3072947548 Enrollment ID: I20200210001892 |
| Provider Name | Mizbauddin Mohiuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184086233 PECOS PAC ID: 1254615925 Enrollment ID: I20200213001035 |
| Provider Name | Afrah Samreen Lnu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245780758 PECOS PAC ID: 2466889167 Enrollment ID: I20200218002588 |
| Provider Name | Kristopher Scot Terry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518233055 PECOS PAC ID: 1456584218 Enrollment ID: I20200616002815 |
| Provider Name | Sarah Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841819521 PECOS PAC ID: 7810310232 Enrollment ID: I20200701003133 |
| Provider Name | Matthew P Chadwick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285081067 PECOS PAC ID: 9335436187 Enrollment ID: I20200925001920 |
| Provider Name | Kevin Do Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376063123 PECOS PAC ID: 4385914902 Enrollment ID: I20200929001183 |
| Provider Name | Saumeet Gaurang Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427581339 PECOS PAC ID: 3173892932 Enrollment ID: I20201013001708 |
| Provider Name | Nickolas Lawrence Meyerkord |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811420797 PECOS PAC ID: 2961822804 Enrollment ID: I20201015000869 |
| Provider Name | Aaron Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487149787 PECOS PAC ID: 9032463377 Enrollment ID: I20201218001008 |
| Provider Name | William E L Reichardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194174789 PECOS PAC ID: 7517254378 Enrollment ID: I20210122001784 |
| Provider Name | Elizabeth D Morrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740223304 PECOS PAC ID: 1153691159 Enrollment ID: I20210225002582 |
| Provider Name | Ekanga Sunday Petters |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144751827 PECOS PAC ID: 8527331321 Enrollment ID: I20210322002395 |
| Provider Name | Madonna Fabian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124438411 PECOS PAC ID: 9931470754 Enrollment ID: I20210609000606 |
| Provider Name | Florin Penciu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962540757 PECOS PAC ID: 3173531746 Enrollment ID: I20210623000292 |
| Provider Name | Saurav Nepal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467947523 PECOS PAC ID: 4981953213 Enrollment ID: I20210702002148 |
| Provider Name | Stephen Manuszak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295185478 PECOS PAC ID: 7810288768 Enrollment ID: I20210831000903 |
| Provider Name | Hamza Mancy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497119382 PECOS PAC ID: 7810228269 Enrollment ID: I20210923000777 |
| Provider Name | Emad Wahashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609368786 PECOS PAC ID: 7416203559 Enrollment ID: I20210923001953 |
| Provider Name | Kelly M Brash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922505007 PECOS PAC ID: 6608123203 Enrollment ID: I20210928000102 |
| Provider Name | Swetha Musty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932686011 PECOS PAC ID: 2365796539 Enrollment ID: I20211006001496 |
| Provider Name | Saed Alnaimat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437539731 PECOS PAC ID: 0941505333 Enrollment ID: I20211101000703 |
| Provider Name | Jay Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558866855 PECOS PAC ID: 9830588391 Enrollment ID: I20211123000481 |
| Provider Name | Christina Marie Peltier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770802704 PECOS PAC ID: 1658761903 Enrollment ID: I20211201001339 |
| Provider Name | Savanna Heather Bellmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417627050 PECOS PAC ID: 8022408228 Enrollment ID: I20211202000284 |
| Provider Name | Nitya Manney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720583388 PECOS PAC ID: 2062777865 Enrollment ID: I20220311000856 |
| Provider Name | Mohammad Al-mahdawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992236749 PECOS PAC ID: 1951674753 Enrollment ID: I20220505001439 |
| Provider Name | Hnin Lwin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528547932 PECOS PAC ID: 5890038285 Enrollment ID: I20220526002802 |
| Provider Name | Raad Al Shaikhli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326433483 PECOS PAC ID: 5698073492 Enrollment ID: I20220601001067 |
| Provider Name | Joshua D Vollstaedt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538517131 PECOS PAC ID: 3375838246 Enrollment ID: I20220602002433 |
| Provider Name | Stephanie E Lauria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003490038 PECOS PAC ID: 7517349822 Enrollment ID: I20220803002408 |
| Provider Name | Kartik Kailesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568786465 PECOS PAC ID: 2466693346 Enrollment ID: I20220803003008 |
| Provider Name | Lizeth Diaz Ledesma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700085784 PECOS PAC ID: 0042385684 Enrollment ID: I20220913001608 |
| Provider Name | Jamie A Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619120276 PECOS PAC ID: 4880865898 Enrollment ID: I20220913003411 |
| Provider Name | Ljubomir Ilic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750348843 PECOS PAC ID: 7113020439 Enrollment ID: I20220915000423 |
| Provider Name | Zaynab Al Sagri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770146292 PECOS PAC ID: 4587997028 Enrollment ID: I20220923001491 |
| Provider Name | Erik S Manninen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215033253 PECOS PAC ID: 5799965166 Enrollment ID: I20221019001753 |
| Provider Name | Mary Grace Nuega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407342603 PECOS PAC ID: 2466798418 Enrollment ID: I20221019002922 |
| Provider Name | Amandeep S Sawana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811550049 PECOS PAC ID: 3274860424 Enrollment ID: I20221020001055 |
| Provider Name | Ahmed Abubakr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235624719 PECOS PAC ID: 5193065795 Enrollment ID: I20221021001404 |
| Provider Name | Rachael Nambusi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003255985 PECOS PAC ID: 8729394267 Enrollment ID: I20221025001015 |
| Provider Name | Hitesh Avaiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497916415 PECOS PAC ID: 6406028893 Enrollment ID: I20221103001831 |
| Provider Name | Saad S Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255836698 PECOS PAC ID: 6507113529 Enrollment ID: I20230125000440 |
| Provider Name | Annie Burcheci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396303780 PECOS PAC ID: 6002287935 Enrollment ID: I20230131003340 |
| Provider Name | Ghaith Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841853975 PECOS PAC ID: 8325419252 Enrollment ID: I20230131003474 |
| Provider Name | Haniya Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003379132 PECOS PAC ID: 7618349804 Enrollment ID: I20230216002370 |
| Provider Name | Nadine El-ayache |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053962118 PECOS PAC ID: 8022481951 Enrollment ID: I20230223002542 |
| Provider Name | Victoria Ruth Moreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982056073 PECOS PAC ID: 6002198595 Enrollment ID: I20230224002488 |
| Provider Name | Riyadh Salih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215590039 PECOS PAC ID: 1456688001 Enrollment ID: I20230227001623 |
Adrian Urgent Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 N Main St, Adrian, MI 49221 Phone: 248-957-7999 Fax: 248-957-7997 | |
Hospitalist Medicine Physicians Of Michigan Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 Riverside Ave, Adrian, MI 49221 Phone: 517-265-0900 | |
Internal Medicine Associates Of Adrian Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 781 Lakeshire Trl, Adrian, MI 49221 Phone: 517-263-2187 Fax: 517-263-0024 | |
Family Medical Center-springbrook Middle School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Springbrook Ave, Adrian, MI 49221 Phone: 734-654-2169 Fax: 734-850-0520 | |
Heffron Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 High St, Adrian, MI 49221 Phone: 517-265-2175 Fax: 517-264-5926 | |
Family Medical Center Of Mi, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Main St, Adrian, MI 49221 Phone: 517-263-1800 Fax: 517-263-1866 |